Capture origin, destination, size, date
Required: from ZIP, to ZIP, home size, preferred move date. Optional: stairs / elevator at each end, special items, packing services.
Form template · Moving company quote
Moving quotes need origin, destination, home size, and date — four fields that determine whether you send a 16-foot or a 26-foot truck. The form captures them in 30 seconds.
This template is one of our free HTML form templates. See more form templates by industry.
Every template is free and fully editable in the drag-drop builder — swap fields, colors, and the button label before you publish.
No server, API route, or SDK — your Moving Company Contact Form posts straight to one endpoint.
Every submission is emailed to you and saved to a searchable dashboard — spam filtered before it reaches you.
It's plain HTML you own — paste the Moving Company Contact Form snippet, swap in your access key, and ship.
Copy and ship
HTML by default — the same field set also renders as React, Next.js, PHP, and cURL in your dashboard. Every variant posts to the same /api/submit endpoint. Replace YOUR_ACCESS_KEY with the key from your dashboard; that's the only edit.
<form action="https://splitforms.com/api/submit" method="POST">
<input type="hidden" name="access_key" value="YOUR_ACCESS_KEY">
<input type="hidden" name="subject" value="New moving quote request">
<label for="name">Full name *</label>
<input id="name" type="text" name="name" placeholder="Jane Builder" required>
<label for="email">Email *</label>
<input id="email" type="email" name="email" placeholder="[email protected]" required>
<label for="phone">Phone *</label>
<input id="phone" type="tel" name="phone" placeholder="+1 555 0142" required>
<label for="from_address">Moving from *</label>
<input id="from_address" type="text" name="from_address" placeholder="City, ZIP" required>
<label for="to_address">Moving to *</label>
<input id="to_address" type="text" name="to_address" placeholder="City, ZIP" required>
<label for="move_date">Preferred move date *</label>
<input id="move_date" type="date" name="move_date" required>
<label for="size">Home size *</label>
<select id="size" name="size" required>
<option value="">Choose…</option>
<option>Studio</option>
<option>1 bedroom</option>
<option>2 bedroom</option>
<option>3 bedroom</option>
<option>4+ bedroom</option>
<option>Office</option>
</select>
<label for="service">Services needed *</label>
<select id="service" name="service" required>
<option value="">Choose…</option>
<option>Loading & transport only</option>
<option>Full service (pack + load + transport)</option>
<option>Packing only</option>
<option>Loading only at origin</option>
</select>
<label for="stairs">Stairs / elevator</label>
<select id="stairs" name="stairs">
<option value="">Choose…</option>
<option>Ground floor both ends</option>
<option>Stairs at one end</option>
<option>Stairs both ends</option>
<option>Elevator at one end</option>
<option>Elevator both ends</option>
</select>
<label for="notes">Anything heavy or fragile?</label>
<textarea id="notes" name="notes" placeholder="Piano, gun safe, art, etc."></textarea>
<!-- honeypot — bots fill every field -->
<input type="checkbox" name="botcheck" style="display:none" tabindex="-1" autocomplete="off">
<button type="submit">Send</button>
</form><p class="splitforms-attribution" style="margin-top:12px;font-size:11px;color:#888;text-align:right">
Powered by <a href="https://splitforms.com" style="color:#888;text-decoration:none" target="_blank" rel="sponsored noopener">splitforms</a>
</p>
<!-- drop-off analytics + partial leads (the form works without it) -->
<script src="https://splitforms.com/embed.js" async></script>How to add it
To add a Moving Company Contact Form to your site you need three things: a free splitforms access key, the HTML snippet above, and your key pasted into it. No backend, database, or CAPTCHA library — the form posts to one URL and every submission lands in your inbox and dashboard.
Required: from ZIP, to ZIP, home size, preferred move date. Optional: stairs / elevator at each end, special items, packing services.
Webhook to your dispatch / CRM (SmartMoving, MoveitPro, Elromco). Auto-respond with a holding message and ballpark range, then call within the hour with a binding number.
Long-distance and 3+ BR moves need a survey. Form lead → survey scheduler → binding quote. Each step is a separate webhook in your stack.
What's included
Movers compete on speed-to-quote — the customer is filling out forms on five companies' sites simultaneously. The first company to call with a useful number wins disproportionately often. The form needs origin ZIP, destination ZIP, home size (studio / 1BR / 2BR / 3BR+), and target date. With those four fields a dispatcher can ballpark a quote in 60 seconds. Add stairs, elevator, and special items (piano, gun safe) for an accurate binding quote. Webhooks into SmartMoving / MoveitPro / Elromco — binding quote within the hour.

Where submissions go
Reply-to is wired to the visitor's email, so one tap on Reply answers them directly — while the built-in honeypot and automatic spam scoring filter out bots before they reach you. Every submission is emailed to your inbox and can forward to a webhook or Slack the moment a visitor hits send.

How SplitForms works
splitforms receives the submission, filters spam, saves it to your dashboard and emails you — then, on paid plans, sends it on to your webhooks and integrations. No backend infrastructure to build.

Point your form to your unique SplitForms endpoint. That's it.

We instantly capture and organize every submission in your inbox.

Send data to email, spreadsheets, CRMs, webhooks, and 7,000+ apps.

No credit card required. Set up in under 60 seconds.
Connect & automate
On paid plans, submissions can also go to Slack, Discord, Google Sheets, Notion, Airtable, Zapier or any signed webhook — and splitforms works on the platforms you build on, from WordPress and Shopify to Next.js. With Stripe connected, your forms can take payments too.

Questions
Most movers can't — local moves are hourly with crew size variables, long-distance is weight-based. A 'starting at' range plus a clear 'we'll call within an hour with an exact number' beats hiding pricing entirely.
Don't quote binding from the form alone. Use the form to schedule a video or in-home survey, then quote. The form's job is to qualify and capture; the binding number comes after the survey.
Yes — webhook the JSON. Both platforms accept inbound leads. The lead lands with origin, destination, size, and date pre-filled.
Broker leads (HomeAdvisor, Networx) cost $30-80 each and the customer is shopping 4 companies. Your own form is free, the lead is exclusive, and the intent is higher because they reached your site directly.
Simple pricing
Free gives you 500 submissions for $0 — no card, no time limit. Pro is $5/month for 5,000 submissions a month, and Annual is $49/year for 15,000 a month with every Pro feature.
For side projects and indie devs.
Every paid feature, for agencies and growing products.
Every Pro feature with triple the volume — $0.27 per 1,000 at full use.
No credit card required on Free • Cancel anytime • Full pricing and FAQ